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Results 4226 trauma patients visited emergency department. 2208 (52.24%) patients were discharged, 1537 (36.37%) were admitted to the ICU, and 454 (10.74%) were admitted to the ward. The remainder were Left Against Medical Advice (LAMA) or Dead on Arrival (DOA) due to various reasons, and there were 27(0.63%) deaths in emergency department (within 15 min of arrival) due to haemorrhagic and/or neurogenic shock. Of the patients who were admitted in ICU or ward, 48 (1.1%) patients died in the hospital. As per our analysis of those 1.1% patients who died in hospital; • Majority of patients (71%) were in the age group of 20 to 40years. Male to female ratio was 87:13%. • 41 patients (85.4%) came after more than one hour of injury while only 7 patients (14.5%) came within one hour. • The most common causes of injuries in those patients were road traffic accidents (77%), compared to gunshot wounds (8.3%), fall from height (12.5%) and blunt injuries (2.1%). • 9 (18.75%) patients died within 24 hours of the hospital stay, 19 (39.5%) died within 72 hours, and 18 (33.3%) died more than 72 hours after admission. • Most frequent cause of death in our observational study was severe head injury in 22 patients (45.8%), multiple organ failure/sepsis in 10 patients (20.83%), and exsanguination in 6 patients (12.5 %). 10 patients (20.83%) died because of combination of causes.

Fatal trauma: death anlysis from September 2011 to December 2013, at Fortis hospital, Noida, India